HomeMy WebLinkAbout925 W 17th St - Building r�
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street:—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: Q r `� 1 &2 Single Family Dwelling
* Plan Review M ,�Be Rerpuired, Ples�Complete Electrical Plan Review Information Sheet
Job Address: W M
Building Square Footage:
Description of above 1 V\S U -Cd
Owner Information Contractor Information
1l
Name, 90Y.Avl r9e, Icir) Name:
Mailing Address W. IN Mailing Address:
City: flk•Pm State:.WA- zip 3 City: State Zip:
Phone: 5 -3` a a� Fax; Phone: Fax:
License#/Exp. K1a r)r- 313 B W License#!Exp.
Item Unit Charge (qty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120,00 $
Service/Feeder 201-400 Amp. $146,00 $
Service/Feeder 401-600 Amp $205,00 $
ServicelFeeder 601-1000 Amp. $262,00 $
ServicelFeeder over 1000 Amp. $373.00 $
Branch Circuit W1 Service Feeder $ 5,00 $
Branch Circuit W10 Service Feeder $ 63,00 1 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 $_
Temp,Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 2C1-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp,Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit!Limited Energy-1 &2 Family DwoTng $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102,00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft, $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$ 6S.00 Total
Owner as defined by RCW.19.28,261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws,N.P.C.,RCW. Chapter 19.28,WAG. Chapter 296-4613,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ Cash IVCheck
Q� x ❑ Credit Card#
X Dated, 1 ��J 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . 13-00001004 Date 9/05/13
Application pin number . . . 989156
Property Address . . . . . . 925 w 17TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-42S8-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . , to the City of Port Angeles
Property Use . , .
Property Zoning . , . . . . . R57 RESDNTL SINGLE FAMILY (Location Code 5502)
Application valuation . . . . 0
Application desc
1 circuit ductless heat pump
Owner Contractor
KLEIN ROXANNE M OWNER
925 W 17TH ST
PORT ANGELES WA 983637433
-----------------------------------------------------__------_---- .._ _- ___
Permit . . . . . .; ELECTRICAL ALTER RESIDENTIAL q� y
Additional. desc
Permit Fee 63,00 Plan Check Fee .00
Issue Date 9/05/13 Valuation . . . . 0
Expiration Date 3/0.4/14
Qty Unit Charge Per Extension
1:00 63,0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
--------------------------------------------------------------------------- V
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 ,00 .00
Plan Check Total .00 ,00 00 .00
Grand Total 63.00 63.00 00 p'4
4
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-INS l
FINAL,
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Date:
Signature of owner or Electrical Contractor X_ _
G:TXCIIANG&BUILDING
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. .;:? ~ / ?
.s /02.0 A,;z.
/ ,
DATE
Installed By:
7 d- .s-
J;
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Sile Address:
Owner/Business:
Phone:
Owner/Business Address:
~IDENTIAL
~~~~~~~I~~W S
o FURNACE KW _
o FAN/WALL KW
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
@-pERMANENT SERVICE
@-NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Sq. 190
~RHEAD SERVICE
o UNDERGROUND/EERVICE
VOL'ffiGE: /20 /d-tjD
WSINGLE PHASE
o THREE PHASE
SERVICE SIZE ;;:;2&0 AMPS
DetailslDescription:
,# Cv...J ;/t9u~r-
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ Rough-in/cover O.K.
~'{j O.K. to connect service
~Final O.K.
~
Permit/Receipt No.
Jbl7
Site Address:
Installer:
.
Notify Port Angeles ity Light by Street Address and Permit Numberwhen ready for inspection. Work mus not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
.~ $
Electrical Inspector
cJ10
f;i;D --
P rmlt Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept.. Bottom: City Hall
OLYMPIC PRINTERS INC.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
~
Site Address:
Installed By:
Owner/Busine
Xl'RESIDENTIAL
'E1 COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
Xl TEMPORARY SERVICE
'0 PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
PERMIT NO. ~67o ~
DATE ,.y -{)CJ-'7:;-
~READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
x( OVERHEAD SERVICE
"0 UNDERGROUND SERVICE
VOLTAGE:
I5('"SINGLE PHASE
r:r THREE PHASE
SERVICE SIZE AMPS
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
~ O.K. to connect service
o Final O.K.
.
Site Address: 1':<s-
Installer
-pJ
~I
New Meters
I
Notify PAng es City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before i pection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Bui ing Permit. PHONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$ ~f),OO
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
GREEN - Top: Meter Dept., Bottom: City Hall